[1]王 佳,冯星火,国丽娜,等.银翘散对流感病毒感染性重症肺炎小鼠肺组织的修复机制研究*[J].陕西中医,2020,(2):156-159.
 WANG Jia,FENG Xinghuo,GUO Lina,et al.Study on repair mechanism of Yinqiaosan on severe pneumonia induced by influenza virus[J].,2020,(2):156-159.
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银翘散对流感病毒感染性重症肺炎小鼠肺组织的修复机制研究*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2020年2期
页码:
156-159
栏目:
基础研究
出版日期:
2020-02-05

文章信息/Info

Title:
Study on repair mechanism of Yinqiaosan on severe pneumonia induced by influenza virus
文章编号:
DOI:〖HT5K〗10.3969/j.issn.10007369.2020.02.005
作者:
王 佳1冯星火1国丽娜1王 妍2
1.辽宁省人民医院重症医学科(沈阳 110000); 2.沈阳市第六人民医院(沈阳 110006)
Author(s):
WANG JiaFENG XinghuoGUO Linaet al.
Liaoning Provincial People's Hospital(Shenyang 110000)
关键词:
银翘散 流感病毒感染 重症肺炎 修复机制 小鼠 总肺水含量
Keywords:
inqiaosan Influenza virus infection Severe pneumonia Repair mechanism Mice TLW
分类号:
R563.1
文献标志码:
A
摘要:
目的: 探讨银翘散对流感病毒感染所致重症肺炎小鼠的修复机制。方法:选择小鼠60只,随机分为模型组(对照组)及治疗组(观察组),各30只,建立流感病毒感染所致重症肺炎小鼠模型,观察组给予银翘散治疗,观察两组小鼠的肺组织病理学改变情况; 比较两组小鼠的肺组织湿干比(W/D)、总肺水含量(TLW)情况。Western blot法检测肺组织NF-κB表达情况; ELISA法检测不同时期炎症因子(IL-6、IL-1、TNF-α)水平情况。结果: HE结果显示,对照组的肺组织病理损伤明显比观察组更严重,观察组小鼠肺组织病理评分明显低于对照组(P<0.05)。干预治疗3、5、7 d后,观察组NF-κB表达水平明显低于对照组,IL-6、IL-1、TNF-α的浓度明显低于对照组(P<0.05)。 结论: 银翘散对流感病毒感染所致重症肺炎小鼠肺组织具有修复炎性病变的作用,其可能通过抑制炎症因子分泌来实现。
Abstract:
Objective:To investigate the repair mechanism of Yinqiaosan on mice with severe pneumonia caused by influenza virus infection.Methods:Sixty mice were selected and randomly divided into a model group(control group)and a treatment group(observation group),30 mice each.A mouse model of severe pneumonia caused by influenza virus infection was established.The observation group was treated with Yinqiaosan.The pathological changes of lung tissue in the mice of the group were compared; the wet-to-dry ratio(W/D)and total lung water content(TLW)of the lung tissue of the two groups of mice were compared.Western blot was used to detect the expression of NF-κB in lung tissue; ELISA was used to detect the levels of inflammatory factors(IL-6,IL-1,TNF-α)in different periods.Results:The HE results showed that the lung tissue pathological damage in the control group was significantly more severe than that in the observation group,and the lung tissue pathological score of the observation group was significantly lower than that in the control group(P<0.05).After 3,5,and 7 days of intervention,the expression levels of NF-κB in the observation group were significantly lower than those in the control group,and the concentrations of IL-6,IL-1,and TNF-α were significantly lower than those in the control group(P<0.05).Conclusion:Yinqiaosan can repair inflammatory lesions in mice with severe pneumonia caused by influenza virus infection,which may be achieved by inhibiting the secretion of inflammatory factors.

参考文献/References:

[1] 马 萍,王敬军,张 义,等.陕西省 2006-2013 年流感暴发疫情流行特征影响因素[J].中国公共卫生,2015,31(1):17-21.
[2] 徐 颖,顾 勤,刘 宁,等.人感染 H7N9 禽流感重症肺炎患者肺部影像学特征与动态变化[J].中华危重病急救医学,2015,27(10):850-852.
[3] 苏宇飞,王 列,文 俊.糖皮质激素配伍乌司他丁辅助治疗儿童重症肺炎 50 例[J].陕西医学杂志,2016,45(9):1248-1249.
[4] 毛 雪,赵 鑫.清肺通腑汤对重症肺炎痰热壅肺证患者肺功能,中医证候积分和炎症因子水平的影响[J].实用临床医药杂志,2019,23(16):15.
[5] 邹家基,邹子仪,史小平,等.CT 影像诊断人感染 H7N9 禽流感和甲型 H1N1 流感重症肺炎的对比[J].中国临床医学,2016,23(9):89-91.
[6] 贺凤兰,夏 文,倪贤生,等.2013-2018 年南昌市重症肺炎病例中甲型流感病毒感染状况分析[J].中华疾病控制杂志,2019,24(2):22.
[7] 沈 霞,罗 旋,李 娜.金银花抗流感病毒H5N1的分子机理研究[J].陕西中医,2012,33(9):1247-1248.
[8] 马 骁.芦青颗粒对流感的治疗作用分析[J].饮食保健,2019,6(6):83-84.
[9] 宋延平,王向阳,薛敬东, 等.清解防感颗粒预防甲型H1N1流感临床研究[J].陕西中医,2019,40(7):886-889.
[10] 杨殿福,徐泊文,郝 钰.中药抗流感病毒机制研究进展[J].中国中医急症,2007,16(8):988-989,994.
[11] 吕小琴,张 磊,丁雪霏,等.2015 年与 2016 年冬季北京地区流感样病例与气象因素关系的研究及流感确诊病例中医证候规律分析[J].中国中医急症,2018,27(4):565-568.
[12] 杨 丽.银翘散治疗小儿疱疹性咽峡炎随机平行对照研究[J].实用中医内科杂志,2016,30(7):32-33,36.
[13] 霍炳杰,常 靓,吕雅蕾, 等.银翘散不同煎煮时间对甲型流感病毒感染小鼠肺组织病毒载量的影响[J].中医杂志,2017,58(2):146-149.
[14] 黄秀才,李亚娜,刘厚颖, 等.银翘散治疗肺炎临床疗效的Meta分析[J].贵阳中医学院学报,2019,41(5):66-70.
[15] 俞美谷,李汶阳.银翘散应用浅析[J].临床医药文献电子杂志,2018,5(22):167.
[16] 宋 健,张会敏,石俊英.金银花防治流感病毒模型血清蛋白组学的初步研究[J].时珍国医国药,2011,22(11):2653-2655.
[17] 李 立,杜雅薇,寇 爽, 等.金银花、连翘对甲型H1N1流感免疫调节通路影响的生物信息学分析[J].中国实验方剂学杂志,2017,23(10):201-204.
[18] 曾丽娟,丁月文,陈俏妍,等.麻杏石甘汤和银翘散体外抗流感病毒药理特点的比较研究[J].中药新药与临床药理,2016,27(3):381-385.
[19] 张晓慧,马 融,戎 萍,等.马融教授运用银翘散治疗儿童抽动障碍风邪犯肺证 30 例临床观察[J].辽宁中医药大学学报,2018,20(3):92-94.
[20] 许 洁,张 庆.流感重症肺炎,多器官功能障碍发病机制的研究进展[J].国际呼吸杂志,2017,37(3):227-231.
[21] 王 冰,张春青,王 萍,等.甲型 H1N1 流感病毒感染者早期血清中细胞因子分泌水平及其意义分析[J].中国卫生检验杂志,2015,25(15):2513-2515.
[22] 亓俊杰,刘建花,周 凡,等.血清降钙素原危急值与血清炎性指标检测在心血管内科感染重症患者的临床意义[J].中华医院感染学杂志,2017,27(5):992-995.
[23] 孙海斌,李雅雯,过 毅,等.儿童呼吸道合胞病毒合并 A 型流感病毒感染的临床特征分析[J].发育医学电子杂志,2019,7(4):297-301.
[24] Wen Y,Weiwei YI,Liu X,et al.NF-κB inhibitor reduces the expression of zincfinger protein A20 in rabbit lumbar intervertebral disc nucleus pulposuscells induced by lipopolysaccharide[J].Basic & Clinical Medicine,2017,37(5):601-607.
[25] 杨詹詹,鲁道旺,卢忠英.传统中药金银花的药理作用研究进展[J].广州化工,2016,44(20):18-19.
[26] 朱琳枫,鲍欣欣,姚 辉, 等.金银花和鱼腥草抑制甲型流感病毒体外复制研究[J].国际检验医学杂志,2018,39(4):485-486.
[27] 包信通,郭承军,王 锋.金银花对流感小鼠肺损伤保护作用初探[J].时珍国医国药,2013,24(3):583-584.
[28] 俞文英,胡毅翔,孙洁胤, 等.金银花-荆芥穗不同配伍比例对流感病毒的体外抑制作用[J].国际流行病学传染病学杂志,2015,42(6):371-375.
[29] 王吉锡,孟 丹,张玉瑶, 等.甘草抗流感病毒作用的研究探讨[J].中医药信息,2010,27(1):42-43.
[30] 潘曌曌,王雪峰.连翘体外,体内抗甲型流感病毒的实验研究[J].西部中医药,2016,29(12):5-8.

备注/Memo

备注/Memo:
*十三五国家科技重大专项课题(2017ZX10305501005);国家自然科学基金资助项目(81403271)
更新日期/Last Update: 2020-03-31